Pain - Inadequate Medication
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Percentage of clients with pain, on medication or no pain medication. Pain frequency (pain present) and pain intensity (moderate to horrible/excruciating pain) on the Pain Scale. Prevalence indicator.
Numerator
Total number of home care clients who had pain and were on pain medication or were not on pain medication in last 3 days.
Denominator
Number of home care episodes.
Exclusions
None
Use of Risk Adjustment
Risk Adjustments
Risk adjustment at individual client level (individual covariates) and home care organizational level (direct standardisation).
Stratifications
Data Attributes
Type of Data Collection
Data Collection Methods
The Resident Assessment Instrument–Home Care (RAI-HC) or the interRAI–Contact Assessment (interRAI-CA), collected by designated assessors, registered healthcare providers, who have received training on the administration of the tools. Not all individuals accepted for publicly funded home care services receive a RAI-HC assessment. The HCRS standard expects that a RAI-HC assessment will be carried out on clients admitted to a long-term home care program: it should be completed upon admission to long-term home care and at regular reassessment intervals (usually 6 months to 1 year), or when the client experiences a significant change in clinical status.
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
HCRS based on 2 consecutive quarters (to ensure minimum number of assessments to apply risk adjustment procedures). CIHI is transitioning to the Integrated interRAI Reporting System (IRRS) for long-term care (LTC) and home care data. As a result, CIHI will decommission the previous reporting systems for home care (HCRS and HCRS-CA) by March 2025. Reported at National, Province/Territory level.
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
Source and Reference Attributes
Evidence Source
Canadian Institute for Health Information. Home Care Reporting System — Contact Assessment: Output Specifications, 2021–2022. Ottawa, ON: CIHI; 2021.
www.cihi.ca/sites/default/files/document/hcqi-infosheet-en-web.pdf
Technical Specifications
Restricted access to Resident Assessment Instrument-Home Care (RAI-HC) User's Manual, Canadian version secure.cihi.ca/estore/productSeries.htm?pc=PCC130&gl=1*4124y5*gaODgxMzkxMDI5LjE2OTIxNDg5NDk.ga44X3CK377B*MTY5NjIxNzg4NC44LjEuMTY5NjIxODA5NS4wLjAuMA..&_ga=2.152660921.1203545925.1696217885-881391029.1692148949 Restricted access to Home Care Reporting System (HCRS) Data Submission Specifications Manual secure.cihi.ca/estore/productSeries.htm?pc=PCC305